Tidwell Living Center

In the surveyor’s words

From the most serious findings on record at Tidwell Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF757Jan 11, 2024

  Based on record review and interview, the facility failed to monitor for side effects of psychotropic medications for two (#12 and #133) of five residents sampled for the use unnecessary medications. The administrator reported the facility census was 31. Findings: An undated policy titled Documentation for Behavioral Medications and Side Effects, read in part, .When medication is ordered by the physician, for a resident to treat a behavioral condition the nurse will initiate the Behavior Drug Monitoring Record . 1. […]

• No harm, potential for more than minimal, patternF880Jan 11, 2024

  Based on record review and interview, the facility failed to have a program designed to help prevent the development of Legionellosis and Pontiac Fever caused by Legionella Bacteria. The administrator reported the census was 31. Findings: On 01/11/24 at 10:10 a.m., the administrator stated the water management program was a work in progress and they did not currently have a policy in place or a diagram of the facilities water system.

• No harm, potential for more than minimal, patternF883Jan 11, 2024

  Based on record review and interview, the facility failed to ensure influenza vaccinations were offered for three (#5, #12, and #18) of five residents reviewed for immunizations. The administrator reported the census was 31. Findings: A review of Resident #5, #12, and #18's immunization records did not document the residents had been offered an influenza immunization in 2023. On 01/11/24 at 1015 a.m. the DON stated Residents #5, #12, and #18 were all receiving hospice care and the hospice company was supposed to provide them with vaccinations. They also reported there had been a miscommunication between hospice staff and facility staff and that hospice staff thought the facility had vaccinated all the residents. […]

• No harm, potential for more than minimal, patternF568Mar 2, 2023

  Based on record review and interview, the facility failed to ensure accounting ledgers were in accordance with services provided for three (#1, 2 and #3) of three residents reviewed for personal funds. The Administrator reported 14 residents with money held in the trust fund account. Findings: A Management of Resident Funds policy, undated, read in parts .The facility will maintain a precise account of all deposits and withdrawals .and will make all documentation readily available to the residents and/or designee. Res #1 had diagnoses which included heart failure and depression. […]

• No harm, potential for more than minimal, patternF570Mar 2, 2023

  Based on record review and interview, the facility failed to maintain a surety bond in a sufficient amount to cover the residents' trust fund account. The administrator reported 14 residents had money held in the trust fund account. Findings: The surety bond, effective 07/10/22 to 07/10/23, was reviewed and the Bond Amount was documented in the amount of $15,000.00. On 03/02/23 at 3:00 p.m., the Administrator provided the trust fund balance of $33,390.55. On 03/02/23 at 3:02 p.m., the Administrator reported the surety bond was not enough to cover the trust fund balance.